Surgical management of miscarriage can ensure that all of the pregnancy tissue is removed from your womb.
Our specialists are experienced gynaecologists who can perform the evacuation of retained products of conception (ERPC) procedure. They can also provide the support that you need after a miscarriage.
What are the Reasons for Having ERPC?
The physical process of miscarriage can vary according to factors such as the length of the pregnancy, so surgical management isn’t needed in every case. You might need to undergo surgical evacuation of retained products of conception if:
- An ultrasound scan shows that the pregnancy has ended but your body hasn’t started the process of miscarriage
- The miscarriage was not complete so there is tissue left in your body
- Waiting for the process to happen naturally has not worked or you would rather not wait
- Medication to start or speed up the process hasn’t worked or isn’t suitable for you
What to Expect
If you have had a miscarriage that requires surgical management, the ERPC procedure will be performed as soon as possible. It may be necessary to operate right away if you are bleeding heavily, but otherwise it is safe to wait a few days before surgery. When you are ready for the procedure:
- You will usually be given a general anaesthetic before ERPC, so you will be asleep and unaware of anything that is happening during the procedure
- A speculum will be inserted into your vagina to hold it open
- The neck of the womb will be opened
- All of the pregnancy tissue will be carefully removed using specially designed instruments
- Suction may also be used to clear the tissue from the womb
- The procedure will take about 15 minutes
The Risks of ERPC
As with any surgical procedure, there are some risks involved with ERPC:
- Heavy bleeding during the procedure
- Damage to the uterus or cervix
- Needing another procedure if material has been left in the womb by mistake
- Allergic reaction to the anaesthetic
Although these complications of ERPC are rare, our specialists at Lotus Klinik will ensure that you understand them fully before the procedure. They will only recommend surgical management of miscarriage when it is right for you.
What Happens Next
The ERPC procedure is relatively straightforward and doesn’t require any incisions or stitches. However, it will take you a little time to recover physically from the procedure:
- You will feel drowsy when you wake up in the recovery room
- You will have some cramps and bleeding after the procedure. If the bleeding is heavy, you should tell a nurse or inform your doctor
- You will need to stay at the hospital for at least a couple of hours to ensure you are recovering well
- You should arrange for someone to pick you up from the hospital as you will still be feeling the effects of the anaesthetic
- You should take it easy for at least a week, but you can return to your normal routine when you feel ready